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Factors associated with HIV-testing and acceptance of an offer of home-based testing by men in rural Zambia

Hensen, B., Lewis, J. J. ORCID:, Schaap, A., Tembo, M., Mutale, W., Weiss, H. A., Hargreaves, J. and Ayles, H. 2015. Factors associated with HIV-testing and acceptance of an offer of home-based testing by men in rural Zambia. AIDS and Behavior 19 (3) , pp. 492-504. 10.1007/s10461-014-0866-0

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The objective of this study is to describe HIV-testing among men in rural Lusaka Province, Zambia, using a population-based survey for a cluster-randomized trial. Households (N = 120) were randomly selected from each of the 42 clusters, defined as a health facility catchment area. Individuals aged 15–60 years were invited to complete questionnaires regarding demographics and HIV-testing history. Men testing in the last year were defined as recent-testers. After questionnaire completion adults were offered home-based rapid HIV-testing. Of the 2,828 men, 53 % reported ever-testing and 25 % recently-testing. Factors independently associated with ever- and recent-testing included age 20+ years, secondary/higher education, being married or widowed, a history of TB-treatment and higher socioeconomic position. 53 % of never-testers and 57 % of men who did not report a recent-test accepted home-based HIV-testing. Current HIV-testing approaches are inadequate in this high prevalence setting. Alternative strategies, including self-testing, mobile- or workplace-testing, may be required to complement facility-based services.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Social Sciences (Includes Criminology and Education)
Publisher: Springer
ISSN: 1090-7165
Last Modified: 26 Oct 2022 07:02

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